Week 8A Flashcards
1
Q
history
A
- established by Harold Freeman for breast cancer patients
- efforts to address barriers to screening, diagnosis, treatment for patients in marginalized communities
- help improved their five year survival rate from 39-70%
2
Q
Canada PN
A
- first established by cancer care nova scotia
- benefits to patients, families and health care system
3
Q
Benefits of PN related to breast cancer NS
A
- emotional support
- prep families for journey
- referrals to appropriate HC professionals
- increasing knowledge of patient and families
- help coordinate appointments
- referral to community supported
- logistics related to getting appt.
- help find funding for medication and supplies
4
Q
2001 Study: how many doctor do cancer patients see over their
A
13-97
5
Q
what kind of HC pro are patient navigators normally
A
nurses sometimes social workers
6
Q
other names
A
nurse navigator
advanced practice nurses
case managers
patient care coordinators
7
Q
PN salaries
A
paid through public health system or outside funding bodies
8
Q
skills of PN
A
- strong comm skills
- prob solving skills
- detailed knowledge of the HC system
- good listening
- empathy
- sense of humour
- flexible
- patient
9
Q
what is the role of a navigator
A
- work with indv clients
- identify and reduce barriers to quality, timely care
- nav services depend on indv needs
- provide services (2 types)
- advocacy around structural barrier
- often navigators work with marginalized populations
10
Q
what are the 2 types of services
A
logistical services ( appointments, transportation, health info etc.) rational services (emotional support, foster trusting relationship between navigator/client, facilitates formation of strong client/provider relationships)
11
Q
Evidence
A
- improves screening rates
- improves rates of confirmatory tests
- leads to earlier diagnosis
- improves access to care
- improves treatment outcomes
- clients satisfied with programs
- Hc providers are satisfied with navigation
- has positive impact on mental health
- improves client self-management
12
Q
PN for the HIV
A
navigators could help seeking testing, care and treatment
13
Q
Panorama Panel reported the following challenges faced by PN
A
- role requires training
- resistance because in requires active approach and teamwork
- navigators may have limited capacity for cooperation
- lack of clarity in roles when navigator is integrated into teams
- lack of decision making autonomy for navigators
- high burn out and compassion fatigue
